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CMS Releases Proposed Rule for 2019 Medicare Quality Payment Program

In July, CMS released its proposed policies for Year 3 (2019) of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). CMS is seeking comments on a variety of proposals in the NPRM. Comments are due by September 10, 2018.

You must officially submit your comments in one of the following ways:

  • Electronically, through Regulations.gov
  • Regular mail
  • Express or overnight mail
  • By hand or courier

Some proposed changes for MIPS Year 3 include:

  • Adding a third volume threshold criterion to determine eligibility
  • Adding 4 new eligible clinician types (Physical Therapist, Occupational Therapist, Clinical Social Worker, and Clinical Psychologist)
  • New Quality and Cost category weights
  • Facility-based scoring for the Quality and Cost categories
  • Submitting data via multiple collection methods in the Quality category
  • 8 new episode-based cost measures
  • New scoring methodology in the Promoting Interoperability category

For more information about the PFS NPRM and the Quality Payment Program proposals, review the fact sheet for an overview of the proposed policies for 2019 (Year 3) which compares these policies to the current 2018 (Year 2) requirements. You can also check out the CMS Proposed Rule Overview for Quality Payment Program Year 3 webinar recording and slides.

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